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Question ⬇

Physiological Integrity

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68. A client is having severe pain in the lower back and left leg. The client has sensation in all extremities, but is not moving the left leg. While waiting for a diagnostic x-ray, the client asks for pain medication. The correct response by the nurse would be to:

Choices

Choices ⬆ ⬇

1. Tell the client nothing can be given until a diagnosis is made.

2. Give half of the usual dose of analgesic to minimize pain.

3. Request order for an opioid to achieve maximum relief.

4. Offer two acetaminophen tablets.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

Relief of pain is a priority. Unrelieved pain can cause shock.

Content Area: Adult Health, Pain Control; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Pharmacological Pain Management

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Rationale ⬆

Physiological Integrity

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3.  

Answer 1 is incorrect because treatment of pain is a priority and will not interfere with the ability to diagnose a fracture of back or limb. Answer 2 is incorrect because the pain needs to be relieved, not minimized. Answer 3 is correct because pain needs to be treated immediately and maximally, to avoid potential complications such as shock. Answer 4 is incorrect because this analgesic choice will not relieve severe pain.

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